NPI age
9 years
Enumerated 2017-04-20
● Active Type 2 · Organization
East Texas Border Health Clinic
East Texas Border Health Clinic is 1 of 894 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roadcap
Ceo
Last NPPES update
2024-06-13
Source: monthly bulk 2026-05
How this organization compares
Across 894 active clinic/center providers in Texas.
NPI age
9 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 28% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
620 S Grove St Ste 105
Marshall, TX 756705295
Mailing address
Po Box 1326
Marshall, TX 756711326
Authorized official
Carla Roadcap
Ceo
📞 9039273782
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Susan Fernandes Pediatrics NPI 1104211275
- David Lopez, LCSW Social Worker NPI 1124163191
- Lindsey Montgomery, LCSW Social Worker NPI 1043793664
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 373432901 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Genesis PrimeCare
-
Genesis PrimeCare
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.